Testing the Validity of the "Modified Confusion Assessment Method for the Emergency Department" (mCAM-ED)"

The proposed Study validates the accuracy of the modified Confusion Assessment Method for the Emergency Department

Completed

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Key information

Conditions

Delirium Confusion Mental Disorders Nervous System Diseases Neurobehavioral Manifestations Neurocognitive Disorders Neurologic Manifestations Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

65 year–115 year

Sex eligibility

All sexes

Study type

Observational

Primary location

University Hospital Basel

Basel, 4031, Switzerland

About this study

Delirium is a complex neuropsychiatric syndrome with sudden change in cognition such as disturbance in orientation or memory particularly in elderly patients in the context of acute illness. Multiple complications such as falls or increased duration of hospitalisation may result in delirium. Long-term consequences may result in increased mortality rates and higher admissions rates to nursing homes. In 2012, delirium prevalence in the Emergency Department (ED) of the University Hospital Basel was 9.5% in patients with 65 years and over. Although a systematic delirium management was introduced in 2012, without systematic screening delirium detection rates varies between 20 and 40% only. The risk of non-detection over the complete hospitalisation is high when early delirium detection did not occur in the ED. In a preliminary evaluation we could show the usefulness of the mCAM-ED

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Age >= 65 years

Exclusion criteria

patients under resuscitation or fatal illness
not speaking German
being aphasic
being deaf

Treatment and study plan

Primary outcomes

Delirium measured by geriatricians using Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV criteria

Time frame: once during the stay at the emergency department which lasts an average of 24 hours

acute confusional states in patients
Delirium measured by geriatricians using DSM-5 criteria

Time frame: once during the stay at the emergency department which lasts an average of 24 hours

acute confusional states in patients
Delirium measured by advanced practice nurses using the mCAM-ED

Time frame: once during the stay at the emergency department which lasts an average of 24 hours

acute confusional states in patients
degree of concordance between nurses' delirium measurement versus geriatricians' delirium measurement assessed in a four field matrix

Time frame: once during the stay at the emergency department which lasts an average of 24 hours

Sponsors and collaborators

Lead sponsor

University Hospital, Basel, Switzerland

Other

Registry information

Official study title

Testing the Validity of the "Modified Confusion Assessment Method for the Emergency Department" (mCAM-ED)" for the Recognition of Delirium in Elderly Patient Admitted to the Emergency Department

Acronym: Val_mCAM-ED

Important dates

Study start: 2015
Primary completion: 2015
Study completion: 2016
First posted: May 25, 2016
Registry last updated: Sep 13, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed